Sugawara Norio, Sato Ken, Takahashi Ippei, Satake Ryu, Fukuda Shinsaku, Nakaji Shigeyuki, Yasui-Furukori Norio
1 Department of Clinical Epidemiology, Translational Medical Center, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan.
2 Department of Neuropsychiatry, Hirosaki University School of Medicine, Hirosaki, Aomori, Japan.
Int J Psychiatry Med. 2018 May;53(3):159-170. doi: 10.1177/0091217417749791. Epub 2017 Dec 27.
Objective Irritable bowel syndrome (IBS) is one of the most common gastrointestinal disorders and is characterized by recurrent abdominal pain or abnormal defecation. This investigation evaluated the relationship between IBS and self-reported quality of life in a community-dwelling population in Japan. Methods For this cross-sectional survey, we enrolled 1002 volunteers who participated in the Iwaki Health Promotion Project in 2013. IBS symptoms were evaluated using the criteria from the Japanese version of the Rome III Questionnaire. The assessments included an interview to obtain sociodemographic data, the second version of the Short-Form Health Survey (SF-36), and the Center for Epidemiologic Studies Depression Scale. Multiple regression analysis was used to assess the relationship between IBS symptoms and scores on the SF-36. Results A total of 59 subjects (5.9%) were classified as having IBS. Scores for all eight domains of the SF-36, the physical component summary, and the mental component summary were significantly and negatively associated with the Center for Epidemiologic Studies Depression scores. Physical functioning, role physical, vitality, mental health, and physical component summary scores were significantly and negatively associated with IBS. Conclusions The burden of IBS symptoms affects both physical and mental wellbeing, even after adjusting for confounders. Our findings suggest that screening for IBS symptoms and evaluating the need for medical care is important for community health workers.
目的 肠易激综合征（IBS）是最常见的胃肠道疾病之一，其特征为反复出现腹痛或排便异常。本研究评估了日本社区居住人群中IBS与自我报告的生活质量之间的关系。方法 对于这项横断面调查，我们纳入了2013年参与磐城健康促进项目的1002名志愿者。使用日本版罗马III问卷的标准评估IBS症状。评估内容包括获取社会人口学数据的访谈、简短健康调查问卷第二版（SF-36）以及流行病学研究中心抑郁量表。采用多元回归分析评估IBS症状与SF-36评分之间的关系。结果 共有59名受试者（5.9%）被归类为患有IBS。SF-36所有八个领域、身体成分汇总和心理成分汇总的评分与流行病学研究中心抑郁评分均呈显著负相关。身体功能、身体角色、活力、心理健康和身体成分汇总评分与IBS呈显著负相关。结论 即使在调整混杂因素后，IBS症状的负担仍会影响身心健康。我们的研究结果表明，对社区卫生工作者而言，筛查IBS症状并评估医疗需求很重要。
